ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, primigravida, 40 weeks gestation, thinks she is in labor
Question 1 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor? (Select all that apply):
Correct Answer: A,C,D
Rationale: A, C, D: Ruptured membranes, cervical dilation, and frequent contractions confirm labor. B is incorrect as labor pain is typically in the lower abdomen or back.
Extract:
newborn, mother positive for hepatitis B surface antigen
Question 2 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Correct Answer: C
Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.
Extract:
patient, opioid use disorder, methadone, neonatal abstinence syndrome
Question 3 of 5
Your patient presents to labor and delivery with opioid use disorder and is taking methadone. The best treatment for her baby that will develop neonatal abstinence syndrome is:
Correct Answer: C
Rationale: Keeping mother and baby together supports bonding and reduces NAS severity through breastfeeding and non-pharmacological interventions.
Extract:
client, preterm labor, 30 weeks gestation, betamethasone
Question 4 of 5
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Betamethasone enhances fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.
Extract:
client, episiotomy pain 8 hours post-delivery
Question 5 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Ice packs reduce inflammation and pain in the perineum during the first 24 hours post-delivery.